Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 01037695A | IN |
N | 2080P0216X | Pediatric Rheumatologist | 01037695 | IN |
NPI | 1932151800 |
---|---|
Provider Name | Thomas L Klausmeier |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-2872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 27/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100131030 | (05) | IN |
64882525 | (05) | KY |
F24520 | (02) | IN |